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T12_1_5_2

2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 12_1_5.2Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days,a age 18 and over,b by race/ethnicity, United States, 2008

Non-Hispanic

Total

White

Black

API

Hispanic, all races

Population group

Rate

SE

Rate

SE

Rate

SE

Rate

SE

Rate

SE

Total

15.4

0.1

14.8

0.1

19.6

0.4

14.7

1.0

16.9

0.5

Age

18-44

10.8

0.3

9.7

0.3

15.0

0.7

8.3

1.9

11.9

0.9

45-64

13.1

0.2

12.6

0.2

16.5

0.5

13.5

1.4

13.7

0.7

65 and over

18.5

0.2

18.1

0.2

21.2

0.7

17.8

1.5

20.8

0.8

65-69

15.0

0.3

14.5

0.4

19.9

1.1

12.5

2.7

16.6

1.4

70-74

17.7

0.4

17.1

0.4

19.9

1.3

16.1

2.9

21.0

1.6

75-79

20.6

0.4

20.6

0.5

20.7

1.6

16.7

3.2

23.4

1.9

80-84

20.0

0.5

19.4

0.6

23.4

2.0

31.7

4.2

22.8

2.3

85 and over

23.7

0.7

22.8

0.8

31.3

2.6

DSU

DSU

28.5

3.6

Gender

Male

17.8

0.2

17.7

0.2

21.2

0.6

17.8

1.5

16.0

0.7

Female

13.5

0.1

13.0

0.2

15.7

0.4

12.2

1.2

15.8

0.6

Median income of patient's ZIP Code

First quartile (lowest income)

16.6

0.2

15.7

0.3

20.1

0.6

14.8

2.6

17.4

0.8

Second quartile

14.7

0.2

14.4

0.3

18.6

0.8

14.2

2.3

13.6

1.0

Third quartile

15.3

0.3

14.9

0.3

16.8

1.0

16.3

1.9

21.7

1.1

Fourth quartile (highest income)

14.8

0.3

14.4

0.3

24.2

1.2

14.0

1.4

13.2

1.3

Location of patient residence

Large central metropolitan

15.8

0.2

15.1

0.3

19.0

0.6

12.4

1.4

16.9

0.7

Large fringe metropolitan

15.8

0.2

15.2

0.3

22.8

0.8

15.2

2.1

17.1

1.3

Medium metropolitan

16.1

0.3

15.8

0.3

18.8

1.1

17.3

2.1

17.3

1.1

Small metropolitan

15.2

0.4

14.7

0.4

18.1

1.4

DSU

DSU

16.1

1.9

Micropolitan

13.8

0.4

13.3

0.4

19.0

1.6

21.9

3.7

18.5

1.9

Noncore

13.9

0.4

13.7

0.4

15.5

1.7

DSU

DSU

12.4

2.4

Expected payment source

Private insurance

13.8

0.2

13.4

0.2

17.1

0.7

14.4

1.6

14.7

0.9

Medicare

16.2

0.2

15.6

0.2

21.5

0.6

15.8

1.4

17.2

0.7

Medicaid

19.1

0.5

16.9

0.7

23.5

1.2

11.6

3.1

25.6

1.4

Other insurance

13.4

0.7

12.6

0.9

17.7

2.0

DSU

DSU

12.2

2.0

Uninsured/self-pay/no charge

11.0

0.8

11.5

1.1

7.7

2.1

DSU

DSU

11.9

2.2

Region of inpatient treatment

Northeast

13.3

0.3

12.9

0.3

16.8

1.1

11.5

2.5

16.2

1.6

Midwest

15.4

0.2

14.7

0.3

23.3

0.8

DSU

DSU

13.0

2.5

South

16.2

0.2

15.7

0.2

18.7

0.5

13.4

2.3

18.1

0.7

West

15.6

0.3

15.1

0.3

20.1

1.2

16.9

1.2

15.9

0.8

Ownership/control of hospital

Private, not for profit

15.2

0.1

14.6

0.2

19.0

0.5

15.4

1.1

16.9

0.7

Private, for profit

16.4

0.3

16.2

0.3

19.4

0.9

12.6

2.8

16.2

0.9

Public

15.3

0.4

14.1

0.4

23.8

1.2

12.2

2.7

18.2

1.3

Teaching status of hospital

Teaching

15.3

0.2

14.6

0.2

20.0

0.6

15.1

1.3

16.4

0.8

Nonteaching

15.4

0.1

14.9

0.2

19.3

0.5

14.3

1.3

17.1

0.6

Location of hospital

Large central metropolitan

16.0

0.2

15.5

0.2

19.7

0.6

13.4

1.3

16.7

0.6

Large fringe metropolitan

15.8

0.3

15.0

0.3

21.9

0.8

17.5

2.4

16.4

1.5

Medium metropolitan

15.5

0.3

15.2

0.3

16.9

1.0

17.5

1.9

17.4

1.1

Small metropolitan

14.8

0.4

14.6

0.4

18.9

1.3

DSU

DSU

16.1

2.0

Micropolitan

13.0

0.5

12.4

0.5

19.1

2.0

DSU

DSU

21.9

2.9

Noncore

8.7

1.0

7.9

1.0

17.2

3.9

DSU

DSU

DSU

DSU

Bed size of hospital

Less than 100

13.6

0.4

13.0

0.4

18.8

1.5

17.3

3.7

15.1

1.6

100-299

15.1

0.2

14.4

0.2

20.9

0.8

17.4

1.6

16.0

0.9

300-499

15.6

0.2

15.3

0.2

18.2

0.7

16.0

1.5

17.0

0.9

500 or more

16.0

0.2

15.4

0.3

20.3

0.7

DSU

DSU

17.9

0.9

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the sepsis be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. In addition, the sepsis is not verifiable as following surgery. Consistent with the AHRQ PSI software, the following cases are excluded: admissions with a principal diagnosis of infection, admissions with cancer or in an immunocompromised state, and obstetric admissions.

b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital. When reporting is by age, the adjustment is by gender, comorbidities, MDC, DRG, and transfers into the hospital; when reporting is by gender, the adjustment is by age, comorbidities, MDC, DRG, and transfers into the hospital. The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.